Category: Geriatric Care Management

By Dr. Richard ShulmancloseAuthor: Dr. Richard ShulmanName: Dr. Richard ShulmanEmail: Richard.Shulman@thp.caSite:http://www.trilliumhealthpartners.caAbout: Dr. Shulman is a Geriatric Psychiatrist, and is the Service Medical Director for Seniors Mental Health Services at Trillium Health Partners (Mississauga Hospital, Credit Valley Hospital and Queensway Health Centre). He is available for independent medical-legal capacity assessments. He is an assistant professor at the University of Toronto.
Email: Richard.Shulman@thp.caSee Authors Posts (23) •
August 8, 2018
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Section 4(1) of the Health Care Consent Act (HCCA) sets out a two-part test for determining whether a person has the capacity to consent to medical treatment, to be admitted to a care facility, or to receive a personal assistive service/device: Is the person able to understand information relevant to…

By Dr. Richard ShulmancloseAuthor: Dr. Richard ShulmanName: Dr. Richard ShulmanEmail: Richard.Shulman@thp.caSite:http://www.trilliumhealthpartners.caAbout: Dr. Shulman is a Geriatric Psychiatrist, and is the Service Medical Director for Seniors Mental Health Services at Trillium Health Partners (Mississauga Hospital, Credit Valley Hospital and Queensway Health Centre). He is available for independent medical-legal capacity assessments. He is an assistant professor at the University of Toronto.
Email: Richard.Shulman@thp.caSee Authors Posts (23) •
May 30, 2018
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In 2015, the Supreme Court of Canada held that the ban on Medical Assistance in Dying (MAiD) was unconstitutional (for a summary of the decision, click here). However, MAiD is not available to all persons; to qualify, a person requesting MAiD must have a grievous and irremediable medical condition including…

By Dr. Richard ShulmancloseAuthor: Dr. Richard ShulmanName: Dr. Richard ShulmanEmail: Richard.Shulman@thp.caSite:http://www.trilliumhealthpartners.caAbout: Dr. Shulman is a Geriatric Psychiatrist, and is the Service Medical Director for Seniors Mental Health Services at Trillium Health Partners (Mississauga Hospital, Credit Valley Hospital and Queensway Health Centre). He is available for independent medical-legal capacity assessments. He is an assistant professor at the University of Toronto.
Email: Richard.Shulman@thp.caSee Authors Posts (23) •
March 28, 2018
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In the March 2018 edition of Reader’s Digest, I came across an article called “State of Confusion”[i] about hospital acquired delirium and the negative consequences that can arise from it. (The author’s original article can be found online.)[ii] The editor’s letter “Decoding Delirium”[iii] in the same issue recounts her mother’s…

By Derek de GannescloseAuthor: Derek de GannesName: Derek de GannesEmail: derek.degannes@rsmcanada.comSite:https://www.rsmcanada.com/About: Derek A. de Gannes: Director, Domestic & International Tax of RSM Canada. RSM Canada is committed to the highest level of integrity, quality and professionalism and provides clients with solutions in the area of Audit, Tax and Transaction Services. Email: derek.degannes@rsmcanada.comSee Authors Posts (94) •
February 13, 2018
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The Canada Revenue Agency (CRA) was asked whether medical assistance in dying would be considered a medical service for the purpose of the medical expense tax credit (METC). Not surprising, their answer was yes. In their view, the services for medical assistance in dying are medical services for the purpose…

By Audrey MillercloseAuthor: Audrey MillerName: Audrey MillerEmail: amiller@eldercaring.caSite:http://www.eldercaring.caAbout: Email: amiller@eldercaring.ca
About: Audrey Miller, Managing Director of Elder Caring Inc. has over 25 years social work and rehabilitation experience working with older individuals and their families. She advises the financial, insurance, legal and business communities regarding elder care issues. Audrey is a recognized expert in her field.See Authors Posts (197) •
February 12, 2018
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The sad story of our Long Term Care crisis continues and this blog will focus on what’s available and the seniors who apply for them. As we know, Long Term Care homes provide Ontario residents with access to 24 hour nursing and personal care and are available to those 18…

As most of you know, the Disability Tax Credit is a credit to income tax otherwise payable, available for those with a severe or prolonged impairment. It is meant to provide some relief from the additional costs and expenses incurred associated with the impairment. It is also referred to by…

By Audrey MillercloseAuthor: Audrey MillerName: Audrey MillerEmail: amiller@eldercaring.caSite:http://www.eldercaring.caAbout: Email: amiller@eldercaring.ca
About: Audrey Miller, Managing Director of Elder Caring Inc. has over 25 years social work and rehabilitation experience working with older individuals and their families. She advises the financial, insurance, legal and business communities regarding elder care issues. Audrey is a recognized expert in her field.See Authors Posts (197) •
July 31, 2017
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Our Ontario government is short sighted. We/They have not planned well for the changing and aging of our society. There simply is no place for those of us who need care and are not fortunate enough to either have the funds to pay for it themselves or have the necessary…

By Dr. Richard ShulmancloseAuthor: Dr. Richard ShulmanName: Dr. Richard ShulmanEmail: Richard.Shulman@thp.caSite:http://www.trilliumhealthpartners.caAbout: Dr. Shulman is a Geriatric Psychiatrist, and is the Service Medical Director for Seniors Mental Health Services at Trillium Health Partners (Mississauga Hospital, Credit Valley Hospital and Queensway Health Centre). He is available for independent medical-legal capacity assessments. He is an assistant professor at the University of Toronto.
Email: Richard.Shulman@thp.caSee Authors Posts (23) •
June 26, 2017
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Most seniors appoint a continuing power of attorney for property (CPOAP) for the sole purpose of not wanting the Office of the Public Guardian and Trustee (PG&T) to assume statutory guardianship of property under the Substitute Decisions Act (SDA) or Mental Health Act (MHA) should the person become incapable. The majority appoint…

By Audrey MillercloseAuthor: Audrey MillerName: Audrey MillerEmail: amiller@eldercaring.caSite:http://www.eldercaring.caAbout: Email: amiller@eldercaring.ca
About: Audrey Miller, Managing Director of Elder Caring Inc. has over 25 years social work and rehabilitation experience working with older individuals and their families. She advises the financial, insurance, legal and business communities regarding elder care issues. Audrey is a recognized expert in her field.See Authors Posts (197) •
June 19, 2017
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Reposted from allaboutestates.ca This original post was from a few years ago. It does seem like only yesterday because, while time has not stood still, sometimes our sentiments don’t change. The event and message is the same. It is a few years later and there is a new US golf…

By Audrey MillercloseAuthor: Audrey MillerName: Audrey MillerEmail: amiller@eldercaring.caSite:http://www.eldercaring.caAbout: Email: amiller@eldercaring.ca
About: Audrey Miller, Managing Director of Elder Caring Inc. has over 25 years social work and rehabilitation experience working with older individuals and their families. She advises the financial, insurance, legal and business communities regarding elder care issues. Audrey is a recognized expert in her field.See Authors Posts (197) •
June 12, 2017
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It is hard enough when a loved one forgets; but it is also very painful when family forget …. about who the older person is and who they were. Many times older people are seen as just that old folks- who may be wrinkled, forgetful, stooped over and hard of…